XML 109 R95.htm IDEA: XBRL DOCUMENT v3.3.1.900

Leases - Additional Information (Detail) - USD ($) $ in Thousands	12 Months Ended
	Dec. 31, 2015	Dec. 31, 2014	Dec. 31, 2013
Leases Disclosure [Line Items]
Rent expense under all operating leases	$ 514,287	$ 460,093	$ 424,096
Net book value of property and equipment under capital leases	$ 261,960	$ 197,344
Minimum
Leases Disclosure [Line Items]
Facilities leased under non-cancellable operating leases term range, minimum	5 years
Facilities leased under non-cancellable operating leases renewal option range, minimum	5 years
Maximum
Leases Disclosure [Line Items]
Facilities leased under non-cancellable operating leases term range, minimum	15 years
Facilities leased under non-cancellable operating leases renewal option range, minimum	10 years

X

- Definition

Leases Disclosure [Line Items]

+ References

No definition available.

+ Details

Name:	dva_LeasesDisclosureLineItems
Namespace Prefix:	dva_
Data Type:	xbrli:stringItemType
Balance Type:	na
Period Type:	duration

X

- Definition

The total gross amount less the charge for the use of the long-lived depreciable assets subject to a lease meeting the criteria for capitalization.

+ References

Reference 1: http://www.xbrl.org/2003/role/presentationRef
-Publisher FASB
-Name Accounting Standards Codification
-Topic 840
-SubTopic 30
-Section 50
-Paragraph 1
-Subparagraph (a)
-URI http://asc.fasb.org/extlink&oid=6455398&loc=d3e45280-112737

+ Details

Name:	us-gaap_CapitalLeasesBalanceSheetAssetsByMajorClassNet
Namespace Prefix:	us-gaap_
Data Type:	xbrli:monetaryItemType
Balance Type:	debit
Period Type:	instant

X

- Definition

Term of the lessee's leasing arrangement renewal, in 'PnYnMnDTnHnMnS' format, for example, 'P1Y5M13D' represents the reported fact of one year, five months, and thirteen days.

+ References

No definition available.

+ Details

Name:	us-gaap_LesseeLeasingArrangementsOperatingLeasesRenewalTerm
Namespace Prefix:	us-gaap_
Data Type:	xbrli:durationItemType
Balance Type:	na
Period Type:	duration

X

- Definition

Term of the lessee's leasing arrangement, in 'PnYnMnDTnHnMnS' format, for example, 'P1Y5M13D' represents the reported fact of one year, five months, and thirteen days.

+ References

No definition available.

+ Details

Name:	us-gaap_LesseeLeasingArrangementsOperatingLeasesTermOfContract
Namespace Prefix:	us-gaap_
Data Type:	xbrli:durationItemType
Balance Type:	na
Period Type:	duration

X

- Definition

Rental expense for the reporting period incurred under operating leases, including minimum and any contingent rent expense, net of related sublease income.

+ References

Reference 1: http://www.xbrl.org/2003/role/presentationRef
-Publisher FASB
-Name Accounting Standards Codification
-Topic 840
-SubTopic 20
-Section 50
-Paragraph 1
-URI http://asc.fasb.org/extlink&oid=6453985&loc=d3e41499-112717

+ Details

Name:	us-gaap_OperatingLeasesRentExpenseNet
Namespace Prefix:	us-gaap_
Data Type:	xbrli:monetaryItemType
Balance Type:	debit
Period Type:	duration

X

- Details

Name:	us-gaap_RangeAxis=us-gaap_MinimumMember
Namespace Prefix:
Data Type:	na
Balance Type:
Period Type:

X

- Details

Name:	us-gaap_RangeAxis=us-gaap_MaximumMember
Namespace Prefix:
Data Type:	na
Balance Type:
Period Type: